Job Description

Immediate need for a talented Customer Service Representative. This is a 06+months contract opportunity with long-term potential and is located in Philadelphia, PA (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-83011

Pay Range: $16 - $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you.
• You can help us achieve our vision to lead nationally in innovating equitable whole-person health.
• The Navigator utilizes critical thinking skills and asks probing questions to identify customer needs.
• Analyzes needs and coordinates with other service and technical departments to develop and deliver appropriate solutions for each customer.
• Proactively identifies additional resources that can improve the member health journey.
• Responds to customer inquiries by telephone, e-mail, or chat and provides resolution to non-technical issues in a prompt, professional, manner.
• Contacts providers, employers, vendors, and internal business partners when necessary to resolve customer issues.
• Effectively communicates solutions or requested information to the customer, considering both stated and unstated needs.
• Exhibits active listening and empathetic behavior when interacting with customers. Actively builds relationships with brokers, clients, and internal business partners to promote engagement and improve the quality of future interactions.
• Follows documented processes when addressing customer issues and interacting with brokers, clients, and business partners.
• Follows through on all commitments within promised timeframes.
• Monitors internal workflows and inboxes to respond to all requests within prescribed timeframes and takes appropriate actions to resolve work items and keep the customer informed of the outcome.
• Develops and maintains a deep understanding of the organization and services offered to resolve more complex inquiries. Seeks out new capabilities by exposing themselves to additional knowledge and situations.
• Uses a customer relationship application or database to properly document all work and investigate customer inquiries.
• Able to work independently for day-to-day activities with limited direction from leadership.
• Escalates scenarios when appropriate to leadership for resolution and awareness. Informs leadership of any obstacles to the completion of required work and follows guidance provided.
• Presents a professional appearance in both virtual and physical settings

Key Requirements and Technology Experience:

• Key skills; Medicare, Medicaid 1 Year of Work experience.

Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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